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  5. SPACE COAST MASSAGE THERAPY, INC.

SPACE COAST MASSAGE THERAPY, INC.

Company Details

Entity Name: SPACE COAST MASSAGE THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 May 1994 (31 years ago)
Document Number: P94000034388
FEI/EIN Number 593246661
Address: 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904
Mail Address: 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740317635 2007-02-27 2020-08-22 1070 S WICKHAM RD, WEST MELBOURNE, FL, 329041653, US 1070 S WICKHAM RD, WEST MELBOURNE, FL, 329041653, US

Contacts
Phone +1 321-729-9000
Fax 3217223997

Authorized person
Name MRS. JODY STORK I
Role PROPRIETOR
Phone 3217299000

Taxonomy
Taxonomy Code 225700000X - Massage Therapist
License Number MM3853
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2023 593246661 2024-04-29 SPACE COAST MASSAGE THERAPY INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2022 593246661 2023-05-23 SPACE COAST MASSAGE THERAPY INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2021 593246661 2022-06-22 SPACE COAST MASSAGE THERAPY INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2020 593246661 2021-06-16 SPACE COAST MASSAGE THERAPY INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2019 593246661 2020-05-20 SPACE COAST MASSAGE THERAPY INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-20
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2018 593246661 2019-05-17 SPACE COAST MASSAGE THERAPY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-17
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2017 593246661 2018-05-16 SPACE COAST MASSAGE THERAPY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing DEBORAH A. NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2016 593246661 2017-06-02 SPACE COAST MASSAGE THERAPY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature
SPACE COAST MASSAGE THERAPY, INC 401(K) PLAN 2015 593246661 2016-05-24 SPACE COAST MASSAGE THERAPY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812190
Sponsor’s telephone number 3217299000
Plan sponsor’s address 1070 S WICKHAM RD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing RICHARD STORK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-24
Name of individual signing DEBORAH NORMYLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STORK RICHARD R Agent 4170 CAROLWOOD DRIVE, MELBOURNE, FL, 32934

Director

Name Role Address
STORK RICHARD R Director 4170 CAROLWOOD DR, MELBOURNE, FL
STORK JODY A Director 4170 CAROLWOOD DR, MELBOURNE, FL

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000085654 SPACE COAST MASSAGE EXPIRED 2013-08-28 2018-12-31 No data 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904
G13000085158 SPACE COAST MASSAGE & SPA ACTIVE 2013-08-27 2028-12-31 No data 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2002-03-13 4170 CAROLWOOD DRIVE, MELBOURNE, FL 32934 No data
CHANGE OF PRINCIPAL ADDRESS 1999-07-14 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904 No data
CHANGE OF MAILING ADDRESS 1999-07-14 1070 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904 No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-06-06
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-01

Related by officers

STORK RICHARD R

REALTREE, INC. STORK ENTERPRISES, INC. SPACE COAST CHIROPRACTIC, INC.

STORK JODY A

SPACE COAST CHIROPRACTIC, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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